Assessment of oculomotor control and balance post-concussion: a preliminary study for a novel approach to concussion management

Brain Inj. 2014;28(4):496-503. doi: 10.3109/02699052.2014.887144. Epub 2014 Feb 24.

Abstract

Primary objective: Balance disturbances occur in ∼30% of concussion injuries, with vestibular dysfunction reported as the main contributor. However, few have studied oculomotor control post-concussion to assess vestibular dysfunction.

Research design: The current research measured the differences in oculomotor control between athletes post-concussion (PC) and athletes without concussion (NC) during an active balance control task.

Methods: Nine PC and nine NC athletes wore a monocular eye tracking device, while balance tests were performed using the Nintendo WiiFit® soccer heading game. Average game scores, eye deviations from centre (Gaze Deviations) and gaze fixation (Percentage Time on Centre) were measured.

Results: PC made significantly greater Gaze Deviations from centre compared to NC (p < 0.001), however Percentage Time on Centre and game scores were not significantly different between groups. Correlations between gaze and balance within groups revealed a significant positive correlation in NC, while a significant negative correlation in PC.

Conclusions: Results from this exploratory examination of oculomotor behaviour post-concussion revealed significant differences in gaze stability between athletes with a concussion and those without, suggesting vestibular involvement post-concussion. Assessment of oculomotor control during balance activities may provide further insight into dysfunction of the vestibular system following a concussion injury.

MeSH terms

  • Adolescent
  • Adult
  • Analysis of Variance
  • Athletic Injuries / complications
  • Athletic Injuries / physiopathology*
  • Athletic Injuries / rehabilitation
  • Brain Concussion / complications
  • Brain Concussion / physiopathology*
  • Brain Concussion / rehabilitation
  • Female
  • Football
  • Humans
  • Male
  • Motor Skills Disorders / etiology
  • Motor Skills Disorders / physiopathology*
  • Motor Skills Disorders / rehabilitation
  • Oculomotor Muscles / physiopathology*
  • Postural Balance*
  • Reaction Time
  • Recovery of Function
  • Vestibular Diseases / etiology
  • Vestibular Diseases / physiopathology*
  • Vestibular Diseases / rehabilitation
  • Video Games*